Individual provider Active NPI

Ijeoma Nwuju, DPM

  • Podiatrist
  • Washington, DC
National Provider Identifier
1902224959
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01656 Issued in MD
Practice address
1160 Varnum St NE Ste 200
Washington, DC 20017-2106
Phone
(202) 635-8306
NPI assigned
Apr 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01656 MD Primary

Addresses

Primary practice location

1160 Varnum St NE Ste 200
Washington, DC 20017-2106

Mailing address

1160 Varnum St NE Ste 200
Washington, DC 20017-2106

Other practice location 1

9001 Woodyard Rd Ste C
Clinton, MD 20735
Phone (202) 635-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180918001990 DC Practitioner - Podiatry 4183975998 Practice locations: Bethesda, MD
I20190521000037 MD Practitioner - Podiatry 4183975998 Practice locations: Clinton, MD

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4401 E W Hwy
Suite 200
Bethesda, MD 20814-4523

4401 E W Hwy
Suite 300
Bethesda, MD 20814-4538
Phone (202) 635-8306

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue302
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01656MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Wellness Center Podiatrist CurrentSince Nov 5, 2018 Accepting new patients

Locations

1160 Varnum St NE
Ste 200
Washington, DC 20017
Phone (202) 635-8306

4401 East West Hwy
Ste 300
Bethesda, MD 20814
Phone (202) 635-8306

9001 Woodyard Rd
Ste C
Clinton, MD 20735
Phone (301) 868-7333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1902224959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 200",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172106",
            "telephone_number": "202-635-8306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Woodyard Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "20735",
            "country_code": "US",
            "telephone_number": "202-635-8306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWUJU",
        "first_name": "IJEOMA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.